institution
New Salem Metormorphosis Youth Program
Addiction (Substance Use Disorder) Counselor in Minneapolis, Minnesota
NPI 1720354004

New Salem Metormorphosis Youth Program is an Addiction (Substance Use Disorder) Counselor based in Minneapolis, MN and is specialized in Addiction (Substance Use Disorder). New Salem Metormorphosis Youth Program practices in Minneapolis, MN. The NPI Number for New Salem Metormorphosis Youth Program is 1720354004 and holds a License No. (Minnesota).

The current practice location address for New Salem Metormorphosis Youth Program is 2509 Bryant Ave North, Minneapolis, MN and can be reached out via phone at 612-250-8799 and via fax at 612-529-9416.

Location: 2509 Bryant Ave North, Minneapolis, MN, 55411-2116
institution
Provider Profile Details
NPI Number
1720354004
Provider Name
New Salem Metormorphosis Youth Program
Credential
Provider Entity Type
Organization
Address
2509 Bryant Ave North, Minneapolis, MN, 55411-2116
Phone Number
612-250-8799
Fax Number
612-529-9416
Provider Enumeration Date
03/30/2012
Last Update Date
03/12/2024
institution
Provider Business Practice Location Address Details
Address
2509 Bryant Ave North
City
State
Zip
55411
Phone Number
612-250-8799
Fax Number
612-529-9416
person
Provider Business Mailing Address Details
Address
2509 Bryant Ave North
City
State
Zip
55411
Phone Number
612-250-8799
Fax Number
612-529-9416
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
()
Definition
Definition to come...
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